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Utilisation as a measure of equity: weighing heat?

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  • Cited by (86)

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      Section 7 concludes. There are many existing theories and specifications of horizontal equity (Culyer, Van Doorslaer, & Wagstaff, 1992; Le Grand, 1991; Mooney, Hall, Donaldson, & Gerard, 1991; Wagstaff et al., 1991). Mooney et al. (1991) define horizontal equity according to the idea that individuals with equal need should enjoy the same access to health care.

    • Do Inequalities in Health Care Utilization in Developing Countries Change When We Take into Account Traditional Medicines?

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      Similarly, individual choice (e.g., religious reasons) may dictate an avoidance of use even if access is guaranteed. This debate is outlined in Mooney, Hall, Donaldson, & Gerard (1991) and Culyer, van Doorslaer, and Wagstaff (1992), with the former arguing that access is not utilization – according to Mooney et al., equal access means “equal costs of utilization”, and many policy statements state “equal access for equal need”, not “equal utilization for equal need”. Culyer et al. (1992) respond saying policymakers are confused, or use these terms interchangeably but mean utilization when they say access.

    • Unfair inequalities in health and health care

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    Gavin Mooney, Cam Donaldson and Karen Gerard are grateful for financial support from the Chief Scientist Office of the Scottish Home and Health Department, as is Jane Hall for financial support from the New South Wales Department of Health. However the opinions expressed are those of the authors, not these health departments.

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